HomeMy WebLinkAboutPermit PG06-015 - COSIC RESIDENCECOSIC RESIDENCE
4248 S 148 ST
PG06 -015
Parcel No.: 0040000801
Address: 4248 S 148 ST TUKW
Suite No:
City tn Tukwila
Tenant:
Name: COSIC RESIDENCE
Address: 4248 S 148 ST, TUKWILA WA
Owner:
Name: COSIC ZEHRUDIN+NIHADA
Address: 4246 S 148 ST, TUKWILA WA
Contact Person:
Name: ZEHRUDIN COSIC
Address: 4248 S 148 ST, TUKWILA WA
Contractor:
Name: ALEXANDERS HEATING INC
Address: 10919 SE 186 ST, RENTON WA
Contractor License No: ALEXAHIO28M8
DESCRIPTION OF WORK:
GAS PIPING FOR FURNACE AND STOVE
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $78.00
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: ct.tukwila.wa.us
plumbing
Bathtub or combination bath /shower
sewer 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with Independent drain
Drinking fountain or water cooler (per head)
0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap
Lavatory 0
Wash fountain 0
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
doc: UPC - Permit
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Phone.
Phone: 206 778 -4538
Phone: 206 295 -2500
Expiration Date: 07/28/2006
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -015
04/27/2006
10/24/2006
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Plumbing (cont.)
0 Building sewer and each trailer park
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors
Repair or alteration of water piping and /or water
treatment equipment 0
0 Medical gas piping system serving one to five
inlets /outlets for a specific gas 0
Gas Pining
Gas piping outlets (0 -5) 2
Gas piping outlets (6 +) 0
PG06.015 Printed: 04 -27 -2006
doc: UPC - Permit
City t' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
PGO6 -015 Printed: 04 -27 -2006
City ti Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Print Name:
doe: UPC - Permit
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06 -015
Issue Date: 04/27/2006
Permit Expires On: 10/24/2006
Permit Center Authorized Signature: �fl/�5t'\&t k Date: I2l"I (lc
I hereby certify that I have read and mined ✓✓ ✓ this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constru on or thee performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: &.r' !/ /7 �-P') � -t°t�. Date: & 4 - & Tor:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
PGO6 -015 Printed: 04 -27 -2006
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0040000801
Address: 4248 S 148 ST TUKW
Suite No:
Tenant: COSIC RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: PGO6 -015
Status: ISSUED
Applied Date: 04/27/2006
Issue Date: 04/27/2006
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Budding Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
doc: Conditions
* *continued on next page **
PG06 -015 Printed: 04 -27 -2006
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature: _______ � C- Date: Oq- 2-e —0 C
Print Name: £T &c..c O Rt2 `C G
doc: Conditions
PG06 -015 Printed: 04 -27 -2006
Site Address:4 t_4
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Developmer Thepartment
Permit Center Slaw
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci,tukwila,wa.us
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
PLUMBING / GAS PIPING PERMIT APPLICATION
[PLUMBING /GAS GAS PIPING C.
(G1 cc
Tenant Name:
Property Owners Name: B &Lt g', .» 11.1 Gdc'
Mailing Address: GI2-C-(1C S 1 1 f s n yat 1(4A-
City
Name: Pei -et fit 1 07- e�.Clr- / , -rit
Mailing Address: � /fi 5 /4 g 8 47.7 ' e /h
g- 0;4- 4,9(6 iJ
City State Zip
E -Mail Address: Fax Number: (7C6 L E q-3cl Z
RA.CTOR INFO
Acgg c Pro w4
(of ? /2-4/ 4ac QJ,C
Contact Person:
E -Mail Address: 1
Contractor Registration Number: 4
A L- /)4 N l6 2 Cation Date:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q:UppliWion,Wamu- Applications On LIneV -2006 - Plumbing -Gu Piping Permit Application :doc
Revised: 4-2006
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King Co Assessor's Tax No.: ON 600 T O'
Suite Number:
New Tenant: O .... Yes 0 ..No
State
State
State
Floor:
tt /6 g
Zip
Day Telephone: 2O 6 S g
P( VI-11 DB °EC)
City St Zip
Day _
Day Telephone: 1 f v )
Fax Number: 2-° '' "1 "
Zip
City
Day Telephone:
Fax Number:
Zip
Page I of 2
Fixture Type:
Qty`'
Fixture Type:
Qty
Fixture Type:
Qiy�
7 ixture Type:
Qty'
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
2-
BiBet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Bulding sewer or trailer
park sewer
Ram water system - per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets - six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
. -
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Valuation of Project (contractor's bid price): $ Sao
Scope of Work (please provide detailed information):
C/c Pia Ft rlik 6I J 4 v
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
=-PERNIIT - AITLICATICN N0TES :
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR Alin{ C RIZED AGENT:
� Signature: .0- .. / ��7
Print Name: 9C 14Z 2 J it\ m) e-05 t! ,
Mailing Address:
Lp
Date Application Expires:
I Date Application Accepted:
QdApplication,Worms- Application On Linen -2006- Plumbing -Gu Piping Perni Application doc
Revised: 4 -2006
bh
Date: f9 - -24 -06
Day Telephone:
City
State
Staff Initials:
Page 2 of 2
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0040000801
Address: 4248 5 148 ST TUKW
Suite No:
Applicant: COSIC RESIDENCE
Payee: ZEHRUDIH COSIC
PLUMBING - RES
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 78.00
Account Code Current Pmts
000/322.100 78.00
Permit Number: PG06 -015
Status: APPROVED
Applied Date: 04/27/2006
Issue Date:
Receipt No.: R06 -00574 Payment Amount: 78.00
Initials: 7EM Payment Date: 04/27/2006 11:43 AM
User ID: 1165 Balance: $0.00
Total: 78.00
4909 04/27 9716 TOTAL 75.00
Printed: 04 -27 -2006
Project
(7 03' G Res
Type of Inspection:
6As �l ere
���
5 s u O _ J
Ad�d -
J i S' �/ S'r
Date Called:
Special Instructions:
Date Wan
: /
2. e G
p.m.
Requester:
Phone No:
INSPECTION RECORD 4.01
N
.Approved per applicable codes.
Retain a copy pY p ermit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
Inspector: J l �
Date: 7— a - 0 .
0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
'Z
Inspector:
(Receipt No.:
INSPECTION RECORD I , o � Y � l
Retain a copy with permit �/ " S
PER NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 11 (20
Date:
❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
•
Date:
Type o Inspection �T J �
f
.L
f< L_sr ,
Addr s:
'ate Called:
Special Instru tins:
Date Wante•: y .
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COM ENTS:
Inspector:
(Receipt No.:
INSPECTION RECORD I , o � Y � l
Retain a copy with permit �/ " S
PER NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 11 (20
Date:
❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
•
Date:
License Information
License
ALEXAHIO28M8
Licensee Name
ALEXANDERS HEATING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601888157
Ind. Ins. Account Id
#2
Business Type
CORPORATION
Address 1
10919 SE 186TH ST
Address 2
City
RENTON
County
KING
State
WA
Zip
98055
Phone
2062952500
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
7/28/1998
Expiration Date
7/28/2006
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
CBIC
SB2044
07/28/2001
Until
Cancelled
$12,000.00
07/29/2002
#1
CBIC
SB2044
07/28/1998
07/28/2001
$6,000.00
Business Owner Information
Name
Role
Effective Date
Expiration Date
ALEKSANDR, GENKIN
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail
1w.
Washington State Department of Labor and Industries
GenerallSpecialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Page 1 of 2
https: // fortress. wa. gov /Ini/bbip /printer.aspx ?License= ALEXAH1028M8 04/27/2006